| Doctor Name: | WILLIAM FRANCIS MALLORY |
| NPI Number: | 1730471228 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LADC |
| License Number: | 100 |
| Business Practice Address: | Highway 75/77 Winnebago Ihs Hospital Winnebago, NE - 680710767 |
| Business Phone Number: | 4028782231 |
| Business Fax Number: | 4028782535 |
| Mailing Address: | 601 W 17th St, SOUTH SIOUX CITY |
| State: | NE |
| Postal Code: | 687762119 |
| Phone Number: | 4028782231 |
| Fax Number: | 4028782535 |
| NPI Enumeration Date: | 05/03/2011 |
| NPI Last Update Date: | 05/03/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 100 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NE |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |